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Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 0012BA APO-CETIRIZINE 10MG TAB (APO/COL) CETIRIZINE APO-CETIRIZINE 100'S A $8.37 $0.08 TABLET 14 TAB APO APOTEX INC. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012BB APO-LORATADINE 10MG TAB (APO/COL) LORATADINE APO-LORATADINE 100'S A $8.56 $0.09 TABLET 14 TAB APO APOTEX INC. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0071G APO-ZOLPIDEM 5MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C $17.81 $0.59 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 0072K APO-ZOLPIDEM 10MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C $19.98 $0.67 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 0141GC AAP-ERYTHROMYCIN 250MG TAB (APO/COL) ERYTHROMYCIN BASE ERYTHROMYCIN BASE AAP-ERYTHROMYCIN 100'S A $33.60 $0.34 TABLET 56 TAB APO APOTEX INC. COL COLLINS LTD 08121204 ERYTHROMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141ZK APO-CLARITHROMYCIN 500MG TAB (APO/COL) CLARITHROMYCIN APO-CLARITHROMYCIN 100'S A $76.30 $0.76 TABLET 14 TAB APO APOTEX INC. COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0481K AAP-METRONIDAZOLE 250MG TAB (APO/COL) METRONIDAZOLE AAP-METRONIDAZOLE 500'S A $28.11 $0.06 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 05027 AAP-NITROFURANTOIN 100MG TAB (APO/COL) NITROFURANTOIN AAP-NITROFURANTOIN 100'S A $17.86 $0.18 TABLET 56 TAB APO APOTEX INC. COL COLLINS LTD 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 05313 APO-AZATHIOPRINE 50MG TAB (APO/COL) AZATHIOPRINE APO-AZATHIOPRINE 100'S A $28.60 $0.29 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 10313 APO-WARFARIN 4MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A $38.06 $0.38 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 1032Q APO-WARFARIN 5MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A $42.95 $0.43 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 10333 APO-WARFARIN 3MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A $34.25 $0.34 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 10349 APO-WARFARIN 2MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A $12.78 $0.13 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 10357 APO-WARFARIN 1MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A $12.23 $0.12 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 1101X APO-PROPRANOLOL 10MG TAB (APO/COL) PROPRANOLOL APO-PROPRANOLOL 100'S A $3.78 $0.04 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD B 2424 BETA ADRENERGIC BLOCKING AGENTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 1102J APO-PROPRANOLOL 40MG TAB (APO/COL) PROPRANOLOL APO-PROPRANOLOL 100'S A $5.33 $0.05 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD B 2424 BETA ADRENERGIC BLOCKING AGENTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 11311 APO-ATORVASTATIN 10MG TAB (APO/COL) ATORVASTATIN APO-ATORVASTATIN 100'S A $4.92 $0.05 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 1134AG APO-ATORVASTATIN 80MG TAB (APO/COL) ATORVASTATIN APO-ATORVASTATIN 100'S C $27.62 $0.28 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 1134B APO-ROSUVASTATIN 40MG TAB (APO/COL) ROSUVASTATIN APO-ROSUVASTATIN 30'S A $7.96 $0.27 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 11615 APO-HYDRALLAZINE 25MG TAB (APO/COL) HYDRALLAZINE APO-HYDRALLAZINE 100'S A $7.20 $0.07 TABLET 120 TAB APO APOTEX INC. COL COLLINS LTD B 240820 DIRECT VASODILATOR 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS